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1295056174
LINDA CLARK
SUMMIT, MS
NPI
1295056174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA OTA200084)
Enumeration Date
2010-06-15
Last Update Date
2010-06-15
Business Address
-- LINDA CLARK
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
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Mailing Address
-- LINDA CLARK
7726 HIGHWAY 165
COLUMBIA, LA 71418-3322
Phone number:
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